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Practitioner Guidance for Implementing Low-Volume High Intensity Interval Training in People with Coronary Artery
Lee Ingle1, Brian Begg2, Richard Powell3
1School of Sport, Exercise & Rehabilitation Science, University of Hull, Hull, UK.
Physiotherapy
|May 31, 2025
Summary
This report provides guidance for implementing low-volume high-intensity interval training (HIIT) in UK cardiac rehabilitation (CR) for coronary artery disease (CAD) patients. It aims to integrate HIIT as standard care alongside moderate-intensity exercise.
Area of Science:
- Cardiology
- Exercise Physiology
- Rehabilitation Medicine
Background:
- High-intensity interval training (HIIT) is internationally recognized for cardiac rehabilitation (CR).
- The UK currently lacks specific HIIT guidance for CR, favoring traditional moderate-intensity training.
- Coronary artery disease (CAD) patients could benefit from evidence-based HIIT protocols.
Purpose of the Study:
- To develop a pragmatic technical report for UK CR practitioners.
- To guide the implementation of low-volume HIIT programs for CAD patients.
- To facilitate the integration of HIIT into routine clinical practice.
Main Methods:
- Defining patient inclusion/exclusion criteria and safety considerations.
- Detailing a low-volume HIIT methodology (10 x 1-minute intervals) and progression criteria.
- Outlining practical implementation strategies for CR settings.
Main Results:
- Providing percentage heart rate reserve (%HRR) thresholds for individualized exercise prescription.
- Discussing considerations for familiarization, supervision, monitoring, and reporting.
- Summarizing the acute physiological responses to low-volume HIIT.
Conclusions:
- This evidence-based report aims to support practitioners in adopting low-volume HIIT.
- It facilitates offering HIIT as a standard care option alongside moderate-intensity exercise.
- The goal is to enhance CR programs for CAD patients through HIIT implementation.
Keywords:
Coronary artery diseaseExercise prescriptionExercise safetyExercise training guidelinesHigh intensity interval trainingMore Related Videos
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